{include file="public/header"/}
{include file="public/navleft"}
<div class="tpl-content-wrapper" xmlns="http://www.w3.org/1999/html">
    <div class="tpl-content-page-title">
        报告列表
    </div>
    <ol class="am-breadcrumb">
        <li><a href="{:url('report/blindex')}" class="am-icon-home">首页</a></li>
        <li><a href="{:url('report/blindex')}">Bl报告列表</a></li>
        <li class="am-active">BL报告查询</li>
    </ol>
    {volist name="data" id = "vo" length='1'}
    <form class="am-form am-form-horizontal" method="post" action="{:url('report/ReportBlEditinfo')}">

        <div class="am-container" >
            <div class="am-g">

                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">Bl编号</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "blbh" placeholder="" value="{$vo.blbh}"/>

                    </div>
                </div>


                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">送检姓名</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "brxm" placeholder="" value="{$vo.brxm}"/>
                        <input type="hidden" name = "ybid" value="{$vo.ybid}"/>
                    </div>
                </div>
                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">性别</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius"  name = "brsex" placeholder="" value="{$vo.brsex|ShowXB}"/>
                    </div>
                </div>

                <div class="am-u-sm-6" >

                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">年龄</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" placeholder=""  name = "brage"value="{$vo.brage}"/>
                    </div>
                </div>

                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">科室/病区</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "sjks" placeholder="" value="{$vo.sjks}"/>
                    </div>
                </div>


                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">sjbb</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "sjbb" placeholder="" value="{$vo.sjbb}"/>
                    </div>
                </div>



                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">送检客户</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "sjhospital" placeholder="" value="{$vo.sjhospital}"/>
                    </div>
                </div>

                <div class="am-u-sm-6" >

                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">接受时间</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "jstime" placeholder="" value="{$vo.jstime}"/>
                    </div>
                </div>

                <div class="am-u-sm-6" >

                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">采集时间/cjtime</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "cjtime" placeholder="" value="{$vo.cjtime}"/>
                    </div>
                </div>


                <div class="am-u-sm-6" >


                    <label class="am-u-sm-4 am-form-label" for="doc-ipt-3-1">sdtime</label>
                    <div class="am-u-sm-8" >
                        <input class="am-form-field am-radius" name="sdtime" placeholder="" type="text"
                               value="{$vo.sdtime}"/>
                    </div>
                </div>

                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">医院条码</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "yytm" placeholder=""value="{$vo.yytm}" />
                    </div>
                </div>

                <div class="am-u-sm-6" >


                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">检验者</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius"  name = "zddoctor" placeholder=""  value="{$vo.zddoctor}"/>
                    </div>
                </div>

                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">审核者</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius"  name = "shr" placeholder="" value="{$vo.shr}" />
                    </div>
                </div>

                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">门诊/住院号</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "zyh" placeholder=""value="{$vo.zyh}" />
                    </div>
                </div>

                <div class="am-u-sm-6" >

                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">是否审核</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "issh" placeholder="" value="{$vo.issh}"/>
                    </div>
                </div>

                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">判读意见/结果</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "rysj" placeholder="" value="{$vo.rysj}"/>
                    </div>
                </div>

                <div class="am-u-sm-6">
                    <label class="am-u-sm-4 am-form-label" for="doc-ipt-3-1"></label>
                    <div class="am-u-sm-8">
                        <input class="am-form-field am-radius" name="lczd" placeholder="" type="text"
                               value="{$vo.lczd}"/>
                    </div>
                </div>
                <div class="am-u-sm-6">
                    <label class="am-u-sm-4 am-form-label" for="doc-ipt-3-1">blzd</label>
                    <div class="am-u-sm-8">
                        <input class="am-form-field am-radius" name="blzd" placeholder="" type="text"
                               value="{$vo.blzd}"/>
                    </div>
                </div>

                <div class="am-u-sm-6">
                    <label class="am-u-sm-4 am-form-label" for="doc-ipt-3-1">remark</label>
                    <div class="am-u-sm-8">
                        <input class="am-form-field am-radius" name="remark" placeholder="" type="text"
                               value="{$vo.remark}"/>
                    </div>
                </div>

                <div class="am-u-sm-6">
                    <label class="am-u-sm-4 am-form-label" for="doc-ipt-3-1">收费导出/isout</label>
                    <div class="am-u-sm-8">
                        <input class="am-form-field am-radius" name="isout" placeholder="" type="text"
                               value="{$vo.isout}"/>
                    </div>
                </div>

                <div class="am-u-sm-6">
                    <label class="am-u-sm-4 am-form-label" for="doc-ipt-3-1">原病理编号</label>
                    <div class="am-u-sm-8">
                        <input class="am-form-field am-radius" name="brlxfs" placeholder="" type="text"
                               value="{$vo.brlxfs}"/>
                    </div>
                </div>

                <div class="am-u-sm-11">1</div>
                <div class="am-u-sm-11">
               <button type="submit" class="am-btn am-btn-primary am-btn-block">确认修改/重新生成</button>
                </div>
        </div>
    </form>
    {/volist}






    {include file="public/footer"/}

